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Anne: Upper jaw small, too less teeth showing, too strong chin

Facial diagnosis

  • Protruding lower jaw

Dental diagnosis

  • Class I

Treatment jaw surgery

  • Advancement lower jaw (BSSO)
  • Advancement upper jaw (Le Fort I)
  • Vertical lengthening upper jaw (extrusion upper jaw - Le Fort I)
  • Chin surgery (Sliding genioplasty)

Treatment aesthetic surgery

  • Cheek augmentation


About this case

Anne is a wonderful girl, she was sent by her orthodontist if anything could be done on her chin that seemed too much advanced. Orhtodontically she had a class I. So the bite was fine. On examining Anne, I find that she did not show anough of her upper teeth, when smiling. I found her face too much in anticlockwise position. I explained Anne that reducing only her chin would not be beneficial at all for her face. So orthognatically we proposed a Le Fort I with substantial vertical lengthening and advancement. A smal bone graft therefore was taken from the anterior hip in order to stabilise the extrusion. In the front she was more extruded than in the back. This way the face was clockwise opened. The lower jaw was adapted to this new spatial position, and the occlusion restored thisway. Finally,but most importantly, Anne was given high cheek bone augmentation, and a chin reduction slight lengthening with contour filling of the labiomental fold area.. Curently Anne is in the process of getting some implants and some crowns on them in the back. Anne is extremely pleased and delighted with her facial flow and presence. A most happy patient again